OrganizationActive
Super Smiles Maricopa PLLC
NPI 1891556502 · Pediatric Dentistry · Maricopa, AZ
Provider details
- NPI number
- 1891556502
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nikita Kuppanda, DDS/ Owner(520) 568-3828
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21116 N John Wayne Pkwy Ste B7
Maricopa, AZ 85139-2932
Phone: (520) 568-3828
Fax: (520) 568-0443
Street-level locationGet directions
Mailing address
21116 N John Wayne Pkwy Ste B7
Maricopa, AZ 85139-2932
Registry dates
- Enumerated
- 2024-01-19
- Last updated
- 2024-01-19
- Certified
- 2024-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.